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The Veterinary clinics of North America. Equine practice2009; 25(2); 247-258; doi: 10.1016/j.cveq.2009.04.001

Coagulopathies in horses with colic.

Abstract: The most common coagulopathy in horses with colic is a hypercoagulable state associated with disseminated intravascular coagulation. The intensity of this coagulopathy depends on the severity and duration of the gastrointestinal lesion, with the ischemic and inflammatory problems and peritonitis being the most frequently affected by coagulopathies. Early initiation of prophylactic therapy significantly reduces the severe hypercoagulable state in horses with intestinal conditions which are recognized to be at high risk for disseminated intravascular coagulation. In addition to the systemic coagulopathy observed in horses with colic, a peritoneal coagulopathy independent from that occurring in blood has been observed, and its recognition and assessment may have clinical usefulness in the diagnosis of the gastrointestinal diseases and outcome.
Publication Date: 2009-07-08 PubMed ID: 19580937DOI: 10.1016/j.cveq.2009.04.001Google Scholar: Lookup
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  • Journal Article

Summary

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This research looks into blood clotting disorders (coagulopathies) found in horses suffering from colic and shows that the severity of these disorders can depend on the gastrointestinal damage in the horse. Mention is made about an innovative therapy method meant to minimize the risk of serious clotting disorder in horses recognized to be in danger and that analyzing blood clotting in the abdominal lining, separate from the systemic disorder, could help in diagnosing variable digestive illnesses.

Research Background

  • The study is concerned with blood clotting disorders, known as coagulopathies, that are observed in horses suffering from colic: a severe, often fluctuating pain in the abdomen.
  • The most common coagulopathy seen in these cases is associated with disseminated intravascular coagulation (DIC) where the body’s clotting abilities are dramatically decreased or increased.

Investigation into Coagulopathies

  • The study investigated how the severity and duration of the gastrointestinal lesion (damage) can affect the intensity of the coagulopathy. This includes intestinal ischemia (insufficient blood flow), inflammation issues, and peritonitis which is inflammation of the tissue that lines the inner wall of the abdomen and covers most of the abdominal organs.
  • It was observed that horses suffering from these gastrointestinal problems tend to develop severe coagulopathies.

Prophylactic Therapy

  • The research puts emphasis on the significance of early initiation of prophylactic therapy, a therapeutic action to prevent or ease the severity of a condition.
  • This therapy can significantly reduce a potential threat of a disseminated intravascular coagulation, a severe hypercoagulable state where the blood’s ability to clot is unusually high, in horses that are recognized to be at high risk.

Recognizing Diagnostic Importance

  • Beyond systemic coagulopathy, the researchers have found a coagulopathy in the peritoneum (abdominal lining) that is distinctive from the blood coagulopathy.
  • This discovery suggests that independently assessing and recognizing this peritoneal coagulopathy could be medically beneficial in diagnosis of different gastrointestinal diseases.

Cite This Article

APA
Monreal L, Cesarini C. (2009). Coagulopathies in horses with colic. Vet Clin North Am Equine Pract, 25(2), 247-258. https://doi.org/10.1016/j.cveq.2009.04.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 25
Issue: 2
Pages: 247-258

Researcher Affiliations

Monreal, Luis
  • Servei de Medicina Interna Equina, Departament de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain. lluis.monreal@uab.es
Cesarini, Carla

    MeSH Terms

    • Animals
    • Anticoagulants / therapeutic use
    • Colic / blood
    • Colic / complications
    • Colic / diagnosis
    • Colic / veterinary
    • Disseminated Intravascular Coagulation / complications
    • Disseminated Intravascular Coagulation / diagnosis
    • Disseminated Intravascular Coagulation / drug therapy
    • Disseminated Intravascular Coagulation / veterinary
    • Horse Diseases / blood
    • Horse Diseases / diagnosis
    • Horse Diseases / pathology
    • Horses
    • Liver Diseases / complications
    • Liver Diseases / pathology
    • Liver Diseases / veterinary

    Citations

    This article has been cited 7 times.
    1. Honoré ML, Pihl TH, Nielsen LN. A pilot study evaluating the Calibrated Automated Thrombogram assay and application of plasma-thromboelastography for detection of hemostatic aberrations in horses with gastrointestinal disease. BMC Vet Res 2021 Nov 8;17(1):346.
      doi: 10.1186/s12917-021-03058-7pubmed: 34749707google scholar: lookup
    2. Barton AK, Richter IG, Ahrens T, Merle R, Alalwani A, Lilge S, Purschke K, Barnewitz D, Gehlen H. MMP-9 Concentration in Peritoneal Fluid Is a Valuable Biomarker Associated with Endotoxemia in Equine Colic. Mediators Inflamm 2021;2021:9501478.
      doi: 10.1155/2021/9501478pubmed: 33488296google scholar: lookup
    3. Lambertini C, Zannoni A, Romagnoli N, Bombardi C, Morini M, Dondi F, Bernardini C, Forni M, Rinnovati R, Spadari A. Expression of Proteinase-Activated Receptor 2 During Colon Volvulus in the Horse. Front Vet Sci 2020;7:589367.
      doi: 10.3389/fvets.2020.589367pubmed: 33330716google scholar: lookup
    4. Berlin N, Kelmer E, Segev G, Aroch I, Kelmer G. Assessment of the CoaguChek-XS portable prothrombin time point-of-care analyzer for horses. J Vet Diagn Invest 2019 May;31(3):448-452.
      doi: 10.1177/1040638719832340pubmed: 30852982google scholar: lookup
    5. Dias DP, de Lacerda Neto JC. Jugular thrombophlebitis in horses: a review of fibrinolysis, thrombus formation, and clinical management. Can Vet J 2013 Jan;54(1):65-71.
      pubmed: 23814304
    6. Macleod BM, Wilkins PA, McCoy AM, Bishop RC. Integration of machine learning and viscoelastic testing to improve survival prediction in horses experiencing acute abdominal pain at a veterinary teaching hospital. Equine Vet J 2026 Jan;58(1):105-114.
      doi: 10.1111/evj.14517pubmed: 40275538google scholar: lookup
    7. Vokes JR, Lovett AL, de Kantzow MC, Rogers CW, Wilkins PA, Sykes BW. Comparison of Citrated Whole Blood to Native Whole Blood for Coagulation Testing Using the Viscoelastic Coagulation Monitor (VCM Vet™) in Horses. Animals (Basel) 2024 Oct 8;14(19).
      doi: 10.3390/ani14192892pubmed: 39409841google scholar: lookup